自体骨软骨移植与踝关节镜微骨折手术治疗距骨骨软骨损伤的疗效分析
Clinical effect analysis of autogenous osteochondral transplantation and ankle microfracture arthroscopic surgery in the treatment of talar osteochondral injury
曹树业1
作者信息
- 1. 佳木斯市中心医院骨外一科,黑龙江佳木斯 154002
- 折叠
摘要
目的 比较分析自体骨软骨移植与踝关节镜微骨折手术治疗距骨骨软骨损伤的效果.方法 将2019年3月-2020年3月收治的80例距骨骨软骨损伤患者作为研究对象,按照随机数表法分为观察组和对照组,每组各40例.对照组采用踝关节镜微骨折手术治疗,观察组采用自体骨软骨移植治疗.记录两组的治疗总有效率、踝关节功能改善情况:踝关节活动度、疼痛程度(采用视觉模拟评分法)、踝关节功能(采用美国足踝外科医师协会评分标准)、供区恢复程度(采用膝关节功能评分量表),及术后不良反应发生情况.结果 观察组治疗总有效率为97.5％,明显高于对照组(80.0％),差异有统计学意义(P＜0.05);观察组VAS评分为(1.6±0.4)分,明显低于对照组的(2.7±0.7)分;踝关节活动度、AOFAS评分、Harris评分分别为(67.3±4.6)°、(91.5±8.2)分、(95.8±2.6)分,均明显大/高于对照组的(59.7±4.2)°、(82.4±7.8)分、(91.5±2.3)分,差异有统计学意义(P＜0.05);两组不良反应总发生率分别为7.5％、12.5％,差异无统计学意义(P＞0.05).结论 自体骨软骨移植治疗距骨骨软骨损伤疗效显著,可有效修复患者软骨,改善踝关节功能,且不会增加不良反应的发生率,安全可靠,具有临床应用价值,值得推广.
Abstract
Objective To compare and analyze the clinical effect of cartilage repair and ankle joint function improvement after autogenous osteochondral transplantation and ankle microfracture arthroscopic surgery for the treatment of talus osteochondral injury,and to provide clinical guidance for the recovery of patients.Methods Eighty patients with talus osteochondral injury who were treated in Shangrao Municipal Hospital from March 2019 to March 2020 were selected as the study subjects.According to the random number table method,they were divided into the study group and the conrol group,40 cases in each one.The patients in the control group were treated with ankle arthroscopic microfracture surgery,and the patients in the study group were treated with autologous osteochondral transplantation.The total effective rate of treatment,the improvement of ankle joint function of two groups were recorded[ankle joint activity and pain were scored by visual analog scoring(VAS),ankle joint function was scored by the American Association of foot and ankle surgeons(AOFAS),the donor area recovery was scored by the knee joint function score scale(Harris)],and the occurrence of postoperative adverse reactions.Results The total effective rate of the study group was 97.5％,which was significantly higher than that of the control group(80.0％)(P＜0.05);the VAS score of the patients in the study group was(1.6±0.4)points,which was significantly lower than that of the patients in the control group(2.7±0.7).The ankle mobility,AOFAS score and Harris score were(67.3±4.6)°,(91.5±8.2)points and(95.8±2.6)points,which were significantly higher than that of the patients in the control group(59.7±4.2)°,(82.4±7.8)points and(91.5±2.3)points,respectively,with statistical significance(P＜0.05);the total incidence of adverse reactions in two groups was 7.5％and 12.5％,respectively,with no significant difference(P＞0.05).Conclusion Autogenous osteochondral transplantation has a significant effect on the treatment of talar osteochondral injury.It can effectively repair the patient's cartilage,improve the patient's ankle joint function,and will not increase the incidence of adverse reactions,which is safe and reliable,has clinical application value,and is worth promoting.
关键词
距骨骨软骨损伤/自体骨软骨移植/踝关节镜微骨折手术/踝关节功能/软骨修复Key words
Cartilage injury of talus/Autologous bone and cartilage transplantation/Ankle arthroscopic microfracture surgery/Ankle joint function/Cartilage repair引用本文复制引用
出版年
2024
NETL
NSTL
万方数据